Roofing Contractor Customer Loyalty Program Enrollment

Company Information*

Legal Company Name*

DBA Company Name

Company Office Phone*

Company Office Email*

Year Company Started*

Street Address*

Owens Corning will not ship to a PO Box

Street Address 2 (Ste, Suite, Unit)

City*

Province*

Postal Code*

Owens Corning Component Sales Leader (CSL) Information

CSL First Name

CSL Last Name

CSL Email Address

Company Owner Information*

Owner Information*

Owner First Name*

Owner Last Name*

Owner Phone*

Email*

Preferred Language

Opt into SMS Text Messaging?

Yes

Owens Corning offers complimentary SMS text messaging services to help you stay informed with important account or product related topics that need your attention. You might receive account updates or product information. Owens Corning offers this service at no extra charge. Message frequency may vary. Standard message and data rates may apply. Your consent to receive these marketing text messages is not required as a condition of purchasing any goods or services from Owens Corning. Texts may be sent using an automatic telephone dialing system.

Participating Carriers: The service is available on AT&T, Sprint, T-Mobile, Verizon Wireless, Boost, Cricket, MetroPCS, U.S. Cellular, Virgin Mobile, ACS Wireless, Appalachian Wireless, Bluegrass Cellular, Carolina West Wireless, Cellcom, C-Spire Wireless (formerly CellSouth), Cellular One of East Central Illinois, Cincinnati Bell Wireless, Cross (dba Sprocket), Duet IP, Element Mobile, EpicTouch, GCI Communications, Golden State, Hawkeye (Chat Mobility), Hawkeye (NW Missouri Cellular), Illinois Valley Cellular, Immix (Keystone Wireless/PC Management), Inland Cellular, iWireless, Mobi PCS (Coral Wireless LLC), Mosaic, MTPCS/ Cellular One (Cellone Nation), Nex-Tech Wireless, nTelos, Panhandle Telecommunications, Peoples Wireless, Pioneer, Plateau, Revol Wireless, Rina - Custer, Rina - All West, Rina - Cambridge Telecom Coop, Rina - Eagle Valley Comm, Rina - Farmers Mutual Telephone Co, Rina - Nucla Nutria Telephone Co, Rina - Silver Star, Rina - South Central Comm, Rina Syringa, Rina - UBET, Rina - Manti, South Canaan / CellularOne of NEPA, Thumb Cellular, Union Wireless, United, Viaero Wireless, West Central Wireless, Leaco, Nemont/Sagebrush. T-Mobile is not liable for delayed or undelivered messages.
If you have questions about SMS text services or need help, call 1-866-PRO-DESK or email ProDesk@owenscorning.com.

Second Owner?

YesNo

Agreement and Terms*

Sign me up for Customer Loyalty Program. I have read and agree to the Terms and Conditions.

I certify that information supplied within is accurate to the best of my knowledge. I authorize Owens Corning or any of its affiliated entities to run a background check on my business. I release them from all liability with respect to the information provided. I further release Owens Corning from all liability in the event that any information received as part of the application process, whether from the applicant or other sources, is disclosed to third parties. I have read and agree to the

Enroll in the Roofing Contractor Customer Loyalty Program

Enroll in the Roofing Contractor Customer Loyalty Program

Customer Loyalty Program
New Membership Enrollment Form

Customer Loyalty Program
New Membership Enrollment Form

FOR CANADIAN CONTRACTORS ONLY

Company Information*

Please Verify Address

Owens Corning Component Sales Leader (CSL) Information

Company Owner Information*

Owner Information*

Enroll Your Team?

Business Information

How Did you Hear About Us?

Agreement and Terms*

Enroll in the Roofing Contractor Customer Loyalty Program

Enroll in the Roofing Contractor Customer Loyalty Program

Customer Loyalty ProgramNew Membership Enrollment Form

Customer Loyalty ProgramNew Membership Enrollment Form

FOR CANADIAN CONTRACTORS ONLY

Company Information*

Please Verify Address

Owens Corning Component Sales Leader (CSL) Information

Company Owner Information*

Owner Information*

Enroll Your Team?

Business Information

How Did you Hear About Us?

Agreement and Terms*

Customer Loyalty Program
New Membership Enrollment Form

Customer Loyalty Program
New Membership Enrollment Form